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Deficiency Records for Collingswood Rehabilitation and Healthcare Center
View the most recent health deficiencies and inspection results for Collingswood Rehabilitation and Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Collingswood Rehabilitation and Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-01-07 | 2026-01-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2026-01-07 | 2026-01-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-01-07 | 2026-01-30 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2025-08-08 | 2025-11-24 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-08-08 | 2025-11-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-08-08 | 2025-11-24 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-08-08 | 2025-11-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-08-08 | 2025-11-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-08-08 | 2025-11-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-08-08 | 2025-11-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-08-08 | 2025-11-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-08-08 | 2025-11-24 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2025-08-08 | 2025-11-24 | N |
| Meet other general requirements. | Fire Safety | 2025-08-08 | 2025-11-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-08-08 | 2025-11-24 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2025-08-08 | 2025-11-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-08-08 | 2025-11-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-08 | 2025-11-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-08 | 2025-09-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-08-08 | 2025-09-05 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-08-08 | 2025-09-05 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-08-08 | 2025-09-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-08-08 | 2025-09-05 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-08-08 | 2025-09-05 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2025-08-08 | 2025-09-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-08-08 | 2025-09-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-08 | 2025-09-05 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-08-08 | 2025-09-05 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-08-08 | 2025-09-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-08-08 | 2025-09-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-08-08 | 2025-09-05 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-08-08 | 2025-09-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-08-08 | 2025-09-05 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2025-08-08 | 2025-09-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-08-08 | 2025-09-05 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-08-08 | 2025-09-05 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-08-08 | 2025-09-05 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-08-08 | 2025-09-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-08-08 | 2025-09-05 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2025-08-08 | 2025-09-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-05-15 | 2025-06-14 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-05-15 | 2025-06-14 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2025-05-15 | 2025-06-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-05-15 | 2025-06-14 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2025-05-15 | 2025-06-14 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-05-15 | 2025-06-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-05-15 | 2025-06-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-05-15 | 2025-06-14 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-05-15 | 2025-06-14 | Y |
| Provide activities to meet all resident's needs. | Health | 2022-08-23 | 2022-10-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-23 | 2022-10-31 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-08-23 | 2022-10-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-23 | 2022-10-31 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-08-23 | 2022-10-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-23 | 2022-10-31 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-08-23 | 2022-10-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-08-23 | 2022-10-31 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-08-23 | 2022-10-31 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-08-23 | 2022-10-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-23 | 2022-10-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-23 | 2022-10-31 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-08-23 | 2022-10-31 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-23 | 2022-10-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-23 | 2022-10-31 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-08-23 | 2022-10-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-08-23 | 2022-10-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-23 | 2022-10-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-23 | 2022-10-31 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-08-23 | 2022-10-31 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2022-08-23 | 2022-10-31 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-08-23 | 2022-10-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-23 | 2022-10-31 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-08-23 | 2022-10-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-23 | 2022-10-31 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-08-23 | 2022-10-31 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-08-23 | 2022-10-31 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-08-23 | 2022-10-31 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-08-23 | 2022-10-31 | N |
| Respond appropriately to all alleged violations. | Health | 2022-08-23 | 2022-10-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-23 | 2022-09-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-23 | 2022-09-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-23 | 2022-09-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-23 | 2022-09-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-23 | 2022-09-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-23 | 2022-09-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-23 | 2022-09-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-23 | 2022-09-27 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-08-23 | 2022-09-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-23 | 2022-09-27 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-08-23 | 2022-09-27 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-08-23 | 2022-09-27 | N |
| Meet other general requirements. | Fire Safety | 2019-12-09 | 2020-02-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-09 | 2020-02-19 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-12-09 | 2020-02-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-09 | 2020-02-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-09 | 2020-02-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-09 | 2020-02-19 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-12-09 | 2020-02-19 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-12-09 | 2020-01-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-09 | 2020-01-23 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-12-09 | 2020-01-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-09 | 2020-01-23 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-12-09 | 2020-01-23 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-12-09 | 2020-01-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-12-09 | 2020-01-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-09 | 2020-01-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-12-09 | 2020-01-23 | N |
| Keep all essential equipment working safely. | Health | 2019-12-09 | 2020-01-23 | N |